DR. Nicole Leila Mackie, DDS, MS

NPI #1205169034 in Las Vegas, Nevada

Provider Information

NPI Number: 1205169034
Entity Type: Individual
Name: DR. Nicole Leila Mackie, DDS, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS, MS
Enumeration Date: Sep 11, 2009
Last Updated: Sep 14, 2021

Practice Location

Address: 8840 W RUSSELL RD STE 210
City: Las Vegas
State: Nevada
ZIP Code: 89148-1355
Phone: (702) 463-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X

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